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Ohio Forms

Village of Peace
Screening Form

In efforts to gain a better understanding of your presenting issues.

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Village of Peace
Informed Consent

Please review the Office Policies and Informed Consent prior to enrollment.

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Village of Peace
Authorization to Release

In the event you need to share your Protected Health Information.

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Village of Peace
Couples "No Secrets" Policy

The Couple is considered "the treatment unit." Click here to find out more information.

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Village of Peace
Professional Therapy Never Includes Sex

Your rights as a patient is free from inappropriate behavior from any treatment provider.

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